Search › Tennessee › 2251X0800X
Matthew Black
NPI 1578257036 · on the registry since 2023
Practice
- Address
- 260 Manchester Blvd
Lebanon, TN 37090 - Phone
- (931) 224-9862
Registry record
- Primary taxonomy
- 2251X0800X
2251X0800X
- Also registered as
- 225100000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee